This form must be completed and submitted to the applied instructor one week before the scheduled departmental recital. Please print all information.
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Departmental Recital Date __________________________________

Performer's Name _________________________________________________________

Performer's Instrument or Vocal Classification _____________________________________

Accompanist's Name and Instrument ___________________________________________

Desired Position on Program _________________________________________________

COMPLETE NAME OF COMPOSITION(S) TO BE PERFORMED

1. ____________________________________________________________________

Movement(s) to be performed _________________________________________

From the opera, etc. ________________________________________________

Complete name of composer__________________________________________

Composer's birth/death dates _________________________________________

2. ____________________________________________________________________

Movement(s) to be performed _________________________________________

From the opera, etc. ________________________________________________

Complete name of composer _________________________________________

Composer's birth/death dates _________________________________________

LENGTH OF TOTAL PERFORMANCE (in minutes) _______________________________

Approved by Applied Instructor:_____________________________________________